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J2 Insights

Analysis, funding trends, and practical guidance to help health centers navigate federal changes.

Featured Insight

When HRSA Grant Announcements Disappear

What disappearing NOFOs may actually mean, and what FQHCs should do next.

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We regularly publish analyses on federal funding trends, HRSA updates, and compliance developments impacting health centers nationwide.

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Recent Insights

SAMHSA Simultaneously Expanding and Contracting

Funding remains available but increasingly unpredictable. This analysis outlines what’s changing and how organizations should adapt their funding strategy.

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Full Articles

The following analyses provide deeper context on federal funding, policy, and operational developments affecting health centers.

When HRSA Grant Announcements Disappear

Published May 6, 2026

 

Last week, HRSA posted several federal grant opportunities that seemed to “disappear” almost as soon as they appeared. With this insight, we hope to shed some light on this occurrence and clear up a small part of the confusion.


Why did this happen?


HRSA grant announcements (Notices of Funding Opportunity, or NOFOs) are published across multiple systems:

 

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However, this recent experience with announcements being posted and then being removed highlights an important reality, that not all federal grant platforms update in sync. HRSA may temporarily remove or update a NOFO page due to many reasons, including but not limited to:

 

  • Internal review or clearance processes 

  • Content revisions or reissuance 

  • Website or system updates 


During this time, an opportunity may remain active on Grants.gov, even if the HRSA page is unavailable. A missing webpage does not necessarily mean a grant has been canceled.


What should you watch for?


When evaluating whether a grant is still active, consider the following:

 

  1. Direct confirmation from HRSA program staff (most reliable) 

  2. Grants.gov listing status 

  3. Agency website availability 


If a funding opportunity is still active on Grants.gov and has not been formally withdrawn or archived, it is often still open, even if there have been no communications from the agency.


Key Takeaway for FQHCs


For organizations investing significant time in federal grant applications, disappearing announcements can create unnecessary uncertainty. However, the safest approach is to:

 

  • Continue preparing applications unless a grant is formally canceled 

  • Monitor Grants.gov for official updates or amendments 

  • Retain copies of NOFO materials in case of revisions 


A missing HRSA webpage does not necessarily signal a lost opportunity. In a complex federal funding environment, Grants.gov remains the most reliable indicator of whether a grant is active.

SAMHSA Simultaneously Expanding and Contracting

Published April 20, 2026

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Following grant disruptions, proposed federal restructuring, and ongoing budget uncertainty, SAMHSA is undergoing significant funding instability and structural changes. While grant opportunities remain available, the environment is more volatile than in previous years. Organizations should continue pursuing funding, but with a more strategic and risk-aware approach.

What’s Happening

  • No official shutdown: SAMHSA continues to operate and release grant opportunities

  • High volatility: Federal funding proposals and restructuring discussions signal potential shifts in how behavioral health programs are administered 

  • Potential restructuring: Proposed FY2026 budgets include consolidating SAMHSA-related programs into broader health structures 

  • Budget uncertainty: Federal appropriations and restructuring proposals may impact timelines, funding flows, and program design 

What This Means for Funding

  • Grant forecasts are active: SAMHSA continues to publish and update FY2026 funding opportunities

  • Multi-year grants are less predictable: Structural and budget proposals introduce uncertainty into continuation funding and long-term awards 

  • Timelines may shift: Forecasted opportunities are explicitly noted as preliminary and subject to change 

What This Means for Health Centers

SAMHSA is not going away, but it is operating in a period of transition. Funding remains available, particularly for substance use disorder (SUD) treatment and Certified Community Behavioral Health Clinic (CCBHC) programs, which are supported through ongoing federal grant programs and statutory authorities. However, awards may be less predictable due to broader funding uncertainty.


The most effective approach is to pursue opportunities aggressively while diversifying funding and maintaining flexible program models.

 

  • Keep pursuing opportunities 

  • Build in contingency assumptions 

  • Avoid over-reliance on a single award 

  • Build a diversified funding pipeline 

Strategy: Where to Focus

Focus on funding streams most likely to remain stable, such as CCBHC expansion and opioid/SUD treatment. These programs are rooted in federal statute and longstanding appropriations (e.g., block grants and opioid response funding), which have historically received sustained federal support.


These areas offer a stronger return on investment in a volatile funding environment because they are tied to the core federal behavioral health infrastructure

Prioritize NOFOs

These opportunities align with long-standing federal behavioral health priorities, including suicide prevention and CCBHC expansion, that have strong bipartisan support and a consistent funding history. 


SM-26-007 – Adult Suicide Prevention
~$1.8M total program funding (est. ~$400K–$500K/award) | Est. Post Date: Apr 15, 2026
Supports implementation of suicide prevention and intervention programs for adults. 


SM-26-009 – Garrett Lee Smith Campus Suicide Prevention
~$8.8M total program funding (est. ~$125K–$150K/award) | Est. Post Date: Apr 15, 2026
Campus-based programs to prevent suicide among college students, including screening, awareness, and early intervention


SM-26-014 – CCBHC Planning, Development & Implementation (PDI)
~$17.2M total program funding (est. ~$1M/award) | Est. Post Date: May 1, 2026
Supports development of new Community Behavioral Health Clinics to close service gaps and improve outcomes for individuals with mental health and substance use disorders.


SM-26-015 – CCBHC Improvement & Advancement
~$117.1M total program funding (est. ~$1M/award) | Est. Post Date: May 1, 2026
Supports existing CCBHCs to enhance mental health and substance use disorder services.

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